" 1-2
' 2-3
Perinatal Asphyxia" 3-4
4-6
" 6-8
Apnea " 8-9
" 9-10
FTT' + ' 10-12
' " '15-16
" 16-18
" 18-19
" '19-21
' 21-23
Congenital stridor" 23-24
24-25
CROUP" 25-26
26-27
CF' 27-29
" 29-30
" 30-32
" 32-33
UTI, " 34-35
" -36-37
' 37-38
' 38-40
" 40-41
" 41-42
" + " 42-44
Vasculitides 45-47
" 47-48
" 48-50
" 50-52
' 52-53
53-55
" + " 55-57
" + 57-59
" 59-61
' 61-63
' 63-64
" 63-64
" 64-65
" 65-67
( ) " 67-69
" 71
" 71-75
" + 75-80
80-82
" 82-83
" 83-85
" 85-87
" 87-89
IUGR" 89-91
" 91-93
Retinopathy of prematurety" 93-94
" 94-96
' 96-98
' 98-100
" + 100-104
"
, " '
, 2006 -
- . .
" .
-terminal bronchiole , .
1. 6-4: . ().
2. ( 16-7): . 3. ( 27-17): , . -20 . 4. ( 35-28) . .
1. 2 -3.
2. . 3. . 4. 13-12.5. .: 1. Tracheo-Esophageal (TE) fistula: . " , . , " . . , .2. : , , . .
3. : ( ( .
1. , CO2 : -PO2 80.
2. 37 . , . 3. . 4. . . . ( , ). " . "" " . , ( ), . . . TTN (transient tachypnea of newborn) .
10% -90% -ductus arteriosus. , ( ) . . , , : " ". . , PDA (patent ductus arteriosus).
: term 37 -41.6. 37. post term 42. : AGA apropriate for gastetional age. SGA small, 10. LGA large, 90. . -2500 .
Apgar score .
5 : , , , , . 2-0 . 10 . .
210
, Blue, paleAppearance (color) A
> 100/min< 100/min-PulseP
No responseGrimce (response) G
limpActivity, tonusA
Weak cry-RespiratoryR
. ( ). 1, 5, 5 . 10 . .
3-0 , 6-4 , 7 .
(newborn, neonate) 28 . -140,000 . - , -70. . ( 20 4 ).
, , (, ).
60%.
.
1 " 1.2% , . -500 (23-22 ) 93%. 1 " (30-29 ) 95%. , .
(premature baby) -37 .
full term baby 42-37.
post term baby 42.
-1.5 ". , .
. ( ). " ( ) " , . . : ( ).
( ).
( ).
3 2 ( ) ( ).
lanugo hair.
.
Millia ( ) Erythema toxicum "" . . . Hemangioma ( ) . . Torticulli -SCM . . vernix . . . 3 . " .
: AGA apropriate for gastetional ageSGA small, 10. LGA large, 90.
. .
. 50% . ( ) ( ). .
Phototherapy " 400nm Bu . , UV .Acute perinatal asphyxiaacute perinatal asphyxia = - .
:
1. maternal -.
2. placental 3. cord . . .
Twin-twin transfusion. torsion . .4. neonate a. " , ". b. -CNS " .c. diaphragmatic hernia . :
3 4 :
1. , . pH < 7 ( -7.1).
2. 3 5 . 3. , , . 4. . :
.
-5 .
-5 -7.
(20 ) 60% .
:
3 " Sarnat -1970 ( ).
1. ( ). -, staring eyes. .
2. , , , . . 3. , . . . :
1 - " , : re-uptake ATP. - ATP . . . , , , ATP .
2 : . .
-para-saggital. -cerabral arteries ". .
, . , . short penetrators long penetrators.
: . .
PVL (periventricular leukomalacia) . , . .
.
.
. .
CO2 , , .
.
" arterial line " .
. " .
". " , " .
: .
( , ). -CNS ( ) 12-10 ( 6-4 ) 18-15 ( 10 ). asphyxiating process. , ( , ). 10 , ( 10 ). : -foramen ovale, . . ( ). , , , . -foramen ovale. " -persistant fetal circulation . , (). .
, -PO50 ( 50% - 26-28 mmHg 16-18 mmHg ).
" . , , . , ().
( ) .
.
.
, . -PO2 . PO2=0 , . -PCO2 = 55, 2.4, -pH 7.25, . .
: .
, . . . .
Persistant Fetal Circulation " pH . -pH 2 . . pH ( ) . pH " ( ). " NO ( ).
Tenssion pneumathorax - ( ). non-tension pneumathorax. tenssion pneumathorax. - . " needle aplication - , . , . - 15%-10 () . . . , . .
. ( ). " .
( ). . " , NO ( , ).
TTN Dyspnea , .
TTN (Transient Tachypnea of the Newborn) . ( ( . " . .
Tension pneumathorax -CXR . . . Dyspnea " -venous return. .
- :
1. 10% . . . . . . 2. . 3. . 4. . 5. . 6. . 7. . 8. " . , . 9. . 10. .
. ( , ). . .
. . " .
-. DDx:
1. , .
2. , . 3. -. 4. , , , . . DD :
1. .
2. Acute renal failure.
3. Renal immaturity.
4. .
5. Congenital adrenal hyperpkasia.
6. - ( ).
-
1. -. . - . .
2. .
:
1. IV . .2. calciun gluconate .
3. . 4. - - .5. Keyexalate . ( " ).6. lasix .7. . 8. exchange ( ) .
, . -PO2 - 30-20 " 100-80 " . - . . , HbF .
(, , ).
, :
1. .
2. . , . PDA .
, , . (, ) .
3 gr% . . 17-21 gr% ( 19). 3 gr% , 84%, PO2